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Prison Health Care is Broken Under the Medicaid Inmate Exclusion Policy

Bill of Health

Incarcerated individuals need health care, but punitive policies make securing access to care particularly difficult among this population, which numbers about 2.1 million as of 2021. As a first step to protecting incarcerated individuals’ right to health, Congress should repeal the Medicaid Inmate Exclusion Policy (MIEP).

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Churntables: A Look at the Record on Medicaid Redetermination Plans

Bill of Health

The COVID-19 Public Health Emergency (PHE) expires at the end of this week, with Department of Health and Human Services (HHS) Secretary Xavier Becerra expected to renew the PHE once more to extend through mid-July. This policy improves coverage and helps reduce churn , which is associated with poor health outcomes.

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One in Two Americans with Work-Based Insurance Worries That Healthcare Costs Could Lead to Bankruptcy

Health Populi

with employer-sponsored health insurance worry that a major health event in their household could lead to bankruptcy, according to research gathered by West Health and Gallup in Business Speaks: The Future of Employer-Sponsored Insurance. Gallup-West Health surveyed 3,870 U.S. One in two people in the U.S.

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Value-Based Health Care Needs All Stakeholders at the Table – Especially the Patient

Health Populi

2021 is the 20th anniversary of the University of Michigan Center for Value-Based Insurance Design (V-BID). Note: I may be biased as a University of Michigan graduate of both the School of Public Health and Rackham School of Graduate Studies in Economics].

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Fifth Circuit Upholds ACA Risk Adjustment Program

Healthcare Law Blog

Various smaller health insurance issuers have challenged the risk-adjustment program under the Patient Protection and Affordable Care Act (ACA), alleging, among other things, that its underlying methodology favors larger insurers. Once the new rules were published, Vista Health Plan, Inc., Vista Health Plan, Inc.

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CMS Begins Option to Extend Medicaid Postpartum Coverage

Healthcare Law Blog

On April 1, 2022 , the Centers for Medicare & Medicaid Services (“CMS”) announced states may seek to extend Medicaid postpartum coverage from 60 days to one year through a new state plan option offered by the American Rescue Plan Act (“ARPA”). In states that have not expanded Medicaid, however, many postpartum women lose coverage.

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The End of Public Health? It’s Not Dead Yet

Bill of Health

In administrative law disputes, a critical aspect of public health law, clear statement rules enforce separation of powers. Supreme Court decisions issued in 2021 and 2022 demonstrate this vertical constraint. Under the ACA, for instance, the health insurance exchanges must be implemented by HHS if states do not create them.